1
Nursing 4530 - Mental Health - Final Exam Questions
with Answers (100% Correct Answers)
The nurse is performing an assessment of geriatric patients in a
community health care center. The nurse reports that one of the
patient's has schizophrenia. Which statement made by the patient
while interacting with the nurse supports the nurse's assessment?
A. "Every morning I enjoy the humming of birds; it relaxes me."
B. "Every day my friends wait for me in front of my gate for our
morning walk."
C. "Every day birds sing songs for me and spread flowers on the path
where I walk."
D. "Everyone feels as if I am a burden to them; I would like to put an
end to their problem."— Answer: C. "Every day birds sing songs for
me and spread flowers on the path where I walk."
Rationale
© 2025 All rights reserved
,2
Patients with schizophrenia have delusions of self-importance and
state false events related to them, like birds singing songs for them and
spreading flowers on their path.
A nurse understands that antipsychotic drugs may sometimes have
toxic effects. The nurse suggests to the patient' s guardians to give the
patient foods rich in carbohydrates and protein and to ensure that the
patient undergoes a liver function test every 6 months. Which of these
toxic effects was the nurse thinking about when making such a
suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
D. Cholestatic jaundice— Answer: D. Cholestatic jaundice
Rational
Antipsychotics may cause cholestatic jaundice because of impaired
liver function. Hence, a liver function test should be performed every 6
© 2025 All rights reserved
,3
months. The patients must be given foods rich in carbohydrates and
protein in order to enhance liver function.
A nurse manager plans to follow up with a nurse after hearing which
comment while talking to a patient who is reporting someone is trying
to poison him or her?
A. "Let's discuss the stressors you have in your life right now."
B. "Tell me more about how someone keeps trying to poison your
food."
C. "Have other members of your family ever experienced this kind of
thing?"
D. "How has this affected your ability to keep a job or care for
yourself?"— Answer: B. "Tell me more about how someone keeps
trying to poison your food."
Rationale
It is nontherapeutic to reinforce the delusion by encouraging the
individual to focus on the details, as suggested by asking the patient
© 2025 All rights reserved
, 4
how his or her food is being poisoned. The statements "Have other
members of your family ever experienced this kind of thing?", "How
has this affected your ability to keep a job or care for yourself?", and
"Let's discuss the stressors you have in your life right now" do not
reinforce the delusion. Rather, they help gain knowledge about the
history of the disorder in the family, the extent of the dysfunction the
fear is causing, and the triggers that may have resulted in this behavior
Which side effect of antipsychotic medication is generally
nonreversible?
A. Dystonic reaction
B. Tardive dyskinesia
C. Pseudoparkinsonism
D. Anticholinergic effects— Answer: B. Tardive dyskinesia
Rationale
Tardive dyskinesia is not always reversible with discontinuation of the
medication and has no proven cure. The side effects of anticholinergic
© 2025 All rights reserved
Nursing 4530 - Mental Health - Final Exam Questions
with Answers (100% Correct Answers)
The nurse is performing an assessment of geriatric patients in a
community health care center. The nurse reports that one of the
patient's has schizophrenia. Which statement made by the patient
while interacting with the nurse supports the nurse's assessment?
A. "Every morning I enjoy the humming of birds; it relaxes me."
B. "Every day my friends wait for me in front of my gate for our
morning walk."
C. "Every day birds sing songs for me and spread flowers on the path
where I walk."
D. "Everyone feels as if I am a burden to them; I would like to put an
end to their problem."— Answer: C. "Every day birds sing songs for
me and spread flowers on the path where I walk."
Rationale
© 2025 All rights reserved
,2
Patients with schizophrenia have delusions of self-importance and
state false events related to them, like birds singing songs for them and
spreading flowers on their path.
A nurse understands that antipsychotic drugs may sometimes have
toxic effects. The nurse suggests to the patient' s guardians to give the
patient foods rich in carbohydrates and protein and to ensure that the
patient undergoes a liver function test every 6 months. Which of these
toxic effects was the nurse thinking about when making such a
suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
D. Cholestatic jaundice— Answer: D. Cholestatic jaundice
Rational
Antipsychotics may cause cholestatic jaundice because of impaired
liver function. Hence, a liver function test should be performed every 6
© 2025 All rights reserved
,3
months. The patients must be given foods rich in carbohydrates and
protein in order to enhance liver function.
A nurse manager plans to follow up with a nurse after hearing which
comment while talking to a patient who is reporting someone is trying
to poison him or her?
A. "Let's discuss the stressors you have in your life right now."
B. "Tell me more about how someone keeps trying to poison your
food."
C. "Have other members of your family ever experienced this kind of
thing?"
D. "How has this affected your ability to keep a job or care for
yourself?"— Answer: B. "Tell me more about how someone keeps
trying to poison your food."
Rationale
It is nontherapeutic to reinforce the delusion by encouraging the
individual to focus on the details, as suggested by asking the patient
© 2025 All rights reserved
, 4
how his or her food is being poisoned. The statements "Have other
members of your family ever experienced this kind of thing?", "How
has this affected your ability to keep a job or care for yourself?", and
"Let's discuss the stressors you have in your life right now" do not
reinforce the delusion. Rather, they help gain knowledge about the
history of the disorder in the family, the extent of the dysfunction the
fear is causing, and the triggers that may have resulted in this behavior
Which side effect of antipsychotic medication is generally
nonreversible?
A. Dystonic reaction
B. Tardive dyskinesia
C. Pseudoparkinsonism
D. Anticholinergic effects— Answer: B. Tardive dyskinesia
Rationale
Tardive dyskinesia is not always reversible with discontinuation of the
medication and has no proven cure. The side effects of anticholinergic
© 2025 All rights reserved
